JOHN E TILLNER DDS - Dentist License in California | # 018001466

JOHN E TILLNER DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001466

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

E

Last Name

TILLNER

Suffix

DDS

Business Name

JOHN E TILLNER DDS

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/30/2009

State

CA

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

07/15/2009